New challenges arise each day. We choose to take advantage of them.

Since 1991, RPI has specialized in providing innovative solutions to the rapidly changing needs of the healthcare industry. We offer professional, comprehensive real estate development and related services to our clients in the healthcare arena.

RPI actively seeks joint venture opportunities in medical development and clinical operations. We provide our clients with the tools, knowledge, and expertise they need to turn visions into realities by developing and managing healthcare facilities to meet their specific criteria and aspirations. We have the capacity to develop medically related, multi-specialty facilities. Our broad spectrum and history of operational management experiences qualify us to operate such a venture in a manner which creates financial benefits for all involved.


Real Practices, Inc. (RPI) was founded in 1991 by Jim Knight. Under the direction of Mr. Knight, RPI strives to be a good steward of the resources entrusted to its care. The leadership team at RPI excels at combining sound business principles, a focus on standard of care, and a commitment to excellence in all areas of operations. The goal of RPI is to continually strive to redefine what best outcomes can be.


Jim has over 20 years of experience in the health care industry and was trained by some of the leading minds in the industry. Jim’s educational background includes Finance and Business & Healthcare Systems Science. The experience and insight gained in these educational pursuits has allowed Jim to develop a unique approach to healthcare business development. By combining the strengths of each discipline, Jim effectively develops solutions to the challenges that continue to arise in the evolving healthcare industry.